Who Paid My Doc
Joyce Castro Gonzalez
Hospice and Palliative Medicine Guaynabo, PR Medical Doctor
NPI 1003023813 CMS profile 1160505
1 Calle San Miguel Apt 75, Guaynabo, PR 00966
General payments
$221
Research payments
$0
Ownership & investment interest
$0
Through program year 2025, Joyce Castro Gonzalez of Guaynabo, PR is reported in the CMS Open Payments database as having received $221 across 7 general payments and $0 in research payments paid to them.
No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.
By program year
2 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $168 | 4 | |
| 2019 | General | $52 | 3 |
Beside peers
- Joyce Castro Gonzalez
- Puerto Rico median
- Middle half of Puerto Rico
- National median
In program year 2025, general payments to Joyce Castro Gonzalez were reported at $168. Among 6,407 Puerto Rico profiles paid that year, the median was $138 and the middle half received between $51 and $379.
Show as a table
| Year | Joyce Castro Gonzalez | Puerto Rico median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $52 | $136 | $56–$387 | $163 |
| 2020 | $0 | $80 | $35–$213 | $114 |
| 2021 | $0 | $110 | $37–$313 | $132 |
| 2022 | $0 | $131 | $52–$362 | $149 |
| 2023 | $0 | $127 | $50–$377 | $160 |
| 2024 | $0 | $141 | $56–$375 | $164 |
| 2025 | $168 | $138 | $51–$379 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Prescribing to Medicare patients
Part D · data year 2024 · 4 drugsPart D claims
133
Drug cost
$1,722
Branded share of claims
0%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Pregabalin | Generic | 64 | $1,079 | |
| Gabapentin | Generic | 33 | $247 | |
| Duloxetine Hcl | Generic | 17 | $206 | |
| Baclofen | Generic | 19 | $190 |
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 7,591 Part D prescribers listed as Physical Medicine and Rehabilitation; they describe a distribution and say nothing about conduct.
Records
7 reportedEvery payment, record by record
Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.
Related records
Hospice and Palliative Medicine in Puerto Rico
Practitioners in the same specialty and state, ranked by reported value.
All Hospice and Palliative Medicine
Everyone recorded under this specialty, nationwide.
Doctors in Puerto Rico
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
What this means
U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.
An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.
Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.